Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan David Welch

Individual provider Surgical Physician Assistant · NPI 1174256481

Logan David Welch is a Physician Assistant in Longmeadow, Massachusetts. Qualified in 2024, 2 years ago. Practices with The Hospital of Central Connecticut at New Britain General and Bradley, a 392-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2022
Specialties on file
2

Practice location Address checks out

588 Longmeadow St
Longmeadow, MA 01106-2292
Phone: (413) 565-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Grand St, New Britain, CT 06052-2016 — (860) 224-5011

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6625 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174256481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address21 Hansen Dr, Vernon, CT 06066-5914

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Hospital Of Central Connecticut At New Britain General And Bradley — 392 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longmeadow